Heart scan could spot hidden risk in chest pain patients
NCT ID NCT03952351
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at whether a special heart scan (CTCA) can help find hidden heart disease in people who come to the hospital with chest pain but are not having a heart attack. About 3,170 adults with slightly elevated troponin levels (a sign of heart stress) will get the scan to see if it helps prevent future heart attacks or heart-related deaths. The goal is to improve how doctors identify and treat those at risk.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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3,170 people
The number who actually took part.
- Started
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Jan 2026
- Expected to finish
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Aug 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Presenting to hospital with symptoms of suspected acute coronary syndrome * Age 18 years and over * Maximum high-sensitivity cardiac troponin concentration between 5ng/L and the 99th percentile Exclusion Criteria: * Diagnosis of myocardial infarction during index presentation * Clear alternative diagnosis or participant requires further inpatient clinical assessment * Recent CTCA or invasive coronary angiogram (within 1 year) * Patient inability to undergo CT scanning, e.g. due to severe renal failure (estimated glomerular filtration rate \<30 mL/min) or major allergy to iodinated contrast media * Current pregnancy or breast feeding * Inability to give informed consent * Further investigation for coronary artery disease would not be in the patient's interest, e.g. due to limited life expectancy, quality of life or functional status * Previous randomisation into the trial
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Lewisham & Greenwich NHS Trust
London, United Kingdom
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Milton Keynes University NHS Hospital
Milton Keynes, United Kingdom
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NHS Greater Glasgow and Clyde
Glasgow, United Kingdom
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NHS Lothian
Edinburgh, United Kingdom
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North Tees NHS Hospital Foundation
Stockton, United Kingdom
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Royal Berkshire NHS Foundation Trust
Reading, United Kingdom
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Torbay & South Devon NHS Foundation Trust
Torquay, United Kingdom
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University Hospital Southampton NHS Trust
Southampton, United Kingdom
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University Hospitals Plymouth NHS Trust
Plymouth, United Kingdom
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Other studies related to the condition(s) this trial covers.
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